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Intrasaccular flow disruption (WEB) of a large wide-necked basilar apex aneurysm using PulseRider-assistance
- Source :
- Interdisciplinary Neurosurgery, Vol 24, Iss, Pp 101072-(2021), Interdisciplinary neurosurgery : Advanced techniques and case management
- Publication Year :
- 2021
- Publisher :
- eScholarship, University of California, 2021.
-
Abstract
- Large, wide-necked basilar apex aneurysms are difficult to treat. Microsurgical clipping can result in neurologic morbidity and mortality. Endovascular treatment often leaves remnants that need retreatment and/or stent placement with dual antiplatelet therapy. The Woven EndoBridge (WEB) is an intrasaccular flow disruption device that can be used without dual antiplatelet therapy. However, the WEB cannot typically be used in large or giant aneurysms > 10 mm because the largest diameter device is the 11 × 9.6 mm single layer sphere (SLS). We present a case in which we use a PulseRider aneurysm neck reconstruction device in the basilar artery to assist in WEB deployment within a 22 mm basilar apex aneurysm with 14 mm neck, thereby permitting aspirin monotherapy postoperatively.
- Subjects :
- medicine.medical_specialty
Aneurysm neck
lcsh:Surgery
Bioengineering
Basilar apex aneurysm
Article
lcsh:RC346-429
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Aneurysm
Rare Diseases
medicine.artery
Basilar artery
medicine
cardiovascular diseases
Endovascular treatment
lcsh:Neurology. Diseases of the nervous system
Assistive Technology
business.industry
Wide-necked
Flow disruption
Intrasaccular flow disruption
Neurosciences
lcsh:RD1-811
medicine.disease
Apex (geometry)
Microsurgical clipping
cardiovascular system
Surgery
Neurology (clinical)
Radiology
business
030217 neurology & neurosurgery
Single layer
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Interdisciplinary Neurosurgery, Vol 24, Iss, Pp 101072-(2021), Interdisciplinary neurosurgery : Advanced techniques and case management
- Accession number :
- edsair.doi.dedup.....ace6082ac5889f70b1ac97ccf3a85495